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PubMed · 5134567

New record folder for use in general practice.

J K Hawkey·I S Loudon·G P Greenhalgh·G T Bungay
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Abstract

A new concept for filing medical records in general practice is described, based on an A4-size folder; in experimental use in 40 practices doctors were generally in favour of the new system.

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Attitude of Health PersonnelEnglandFamily PracticeFilingMedical RecordsPractice Management, MedicalJournal Article

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J K Hawkey, I S Loudon, G P Greenhalgh, G T Bungay. 1971-12-11. New record folder for use in general practice.. https://doi.org/10.1136/bmj.4.5788.667

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PubMed2001

Why general practitioners do not implement evidence: qualitative study.

OBJECTIVES: To explore the reasons why general practitioners do not always implement best evidence. DESIGN: Qualitative study using Balint-style groups. SETTING: Primary care. PARTICIPANTS: 19 general practitioners. MAIN OUTCOME MEASURES: Identifiable themes that indicate barriers to implementation. RESULTS: Six main themes were identified that affected the implementation process: the personal and professional experiences of the general practitioners; the patient-doctor relationship; a perceived tension between primary and secondary care; general practitioners' feelings about their patients and the evidence; and logistical problems. Doctors are aware that their choice of words with patients can affect patients' decisions and whether evidence is implemented. CONCLUSIONS: General practitioner participants seem to act as a conduit within the consultation and regard clinical evidence as a square peg to fit in the round hole of the patient's life. The process of implementation is complex, fluid, and adaptive.

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